Assuntos
Miliária/congênito , Miliária/patologia , Humanos , Recém-Nascido , Masculino , Fotografação , ÁguaRESUMO
Miliaria crystallina (MC) is a self-limiting, superficial obstruction of the eccrine sweat ducts with subsequent extravasation of sweat, resulting in rapidly surfacing, tiny, clear, noninflammatory vesicles. The disease is seen frequently in hot, humid, tropical climates and in the neonatal period, but congenital occurrence is rare. We report a case of congenital MC in a baby born to a mother with chorioamnionitis.
Assuntos
Miliária/congênito , Miliária/diagnóstico , Antibacterianos/uso terapêutico , Cesárea , Corioamnionite/diagnóstico , Corioamnionite/tratamento farmacológico , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Remissão Espontânea , Adulto JovemRESUMO
Our objective was to study skin disorders in neonates within the first 48 hours of life in Ahvaz, Iran. One thousand consecutive neonates were examined in a descriptional prospective cohort study for 1 year (2002-03). The rate of skin disorders and their relationship to age of gestation and sex were calculated and analyzed using the computerized program SPSS version 10 and chi-squared test (chi2). Our findings were Mongolian spots (71.3%), Epstein pearls (70.2%), sebaceous hyperplasia (43.7%), salmon patch (26.2%), hypertrichosis (25.7%), erythema toxicum (11.1%), milia (7.5%), desquamation (1.9%), hemangioma (1.3%), and miliaria (1.3%). The most frequent skin disorders were Mongolian spots, Epstein pearls, and sebaceous hyperplasia. Differences between our study findings and those of others may be based on racial differences and study method.
Assuntos
Dermatopatias/congênito , Dermatopatias/epidemiologia , Estudos de Coortes , Feminino , Seguimentos , Hemangioma/congênito , Hemangioma/epidemiologia , Hemangioma/patologia , Humanos , Incidência , Recém-Nascido , Irã (Geográfico)/epidemiologia , Masculino , Miliária/congênito , Miliária/epidemiologia , Miliária/patologia , Mancha Mongólica/congênito , Mancha Mongólica/epidemiologia , Mancha Mongólica/patologia , Nevo Pigmentado/congênito , Nevo Pigmentado/epidemiologia , Nevo Pigmentado/patologia , Estudos Prospectivos , Medição de Risco , Distribuição por Sexo , Dermatopatias/patologia , Neoplasias Cutâneas/congênito , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/patologia , Fatores de TempoRESUMO
Miliaria crystallina is a transient, superficial obstruction of eccrine sweat ducts resulting in rapidly evolving noninflammatory vesicles. The disease is observed frequently in hot, humid, tropical climates and in the neonatal period, but congenital occurrence is very rare. Miliaria crystallina must be considered in the differential diagnosis of bullous diseases in newborns.
Assuntos
Miliária/congênito , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Recém-Nascido , Miliária/diagnóstico , Miliária/terapia , GravidezRESUMO
Generalized congenital miliaria crystallina occurred in a black newborn boy. Although miliaria crystallina occurring in infancy and beyond is well established, congenital occurrence is very rare. The pathogenesis of the disorder is not well understood. We discuss some hypotheses of pathogenesis in the context of our patient, as well as a differential diagnosis and a comparison with a previously reported case. Miliaria crystallina should be considered in the differential diagnosis of vesiculobullous eruptions in newborns.
Assuntos
Miliária/congênito , Humanos , Recém-Nascido , Masculino , Miliária/diagnósticoRESUMO
Miliaria crystallina is characterized by intracorneal or subcorneal, 1 to 2 mm, clear, noninflammatory vesicles that typically appear in crops after a severe sunburn or during a febrile illness. They frequently occur in neonates, most likely due to lack of maturation of the sweat duct during the first few days following birth, but are rarely present at delivery. We describe here a patient with extensive miliaria crystallina that was present at birth and review possible theories of the pathogenesis of these lesions.
